CLINICAL SKILLS ASSESSMENT
PRAC 6665/6675 Clinical Skills
Self-Assessment Form
| Desired Clinical Skills for Students to Achieve | Confident (Can complete independently) | Mostly confident (Can complete with supervision) | Beginning (Have performed with supervision or needs supervision to feel confident) | New (Have never performed or does not apply) |
| Comprehensive psychiatric evaluation skills in: | ||||
| Recognizing clinical signs and symptoms of psychiatric illness across the lifespan | X | |||
| Differentiating between pathophysiological and psychopathological conditions | X | |||
| Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) | X | |||
| Performing and interpreting a mental status examination | X | |||
| Performing and interpreting a psychosocial assessment and family psychiatric history | X | |||
| Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). | X | |||
| Diagnostic reasoning skill in: | ||||
| Developing and prioritizing a differential diagnoses list | X | |||
| Formulating diagnoses according to DSM 5-TR based on assessment data | X | |||
| Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes | X | |||
| Pharmacotherapeutic skills in: | ||||
| Selecting appropriate evidence based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management) | X | |||
| Evaluating patient response and modify plan as necessary | X | |||
| Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) | X | |||
| Psychotherapeutic Treatment Planning: | ||||
| Recognizes concepts of therapeutic modalities across the lifespan | X | |||
| Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation) | X | |||
| Applies age appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers | X | |||
| Develop an age appropriate individualized plan of care | X | |||
| Provide psychoeducation to individuals and/or any caregivers | X | |||
| Promote health and disease prevention techniques | ||||
| Self-assessment skill: | ||||
| Develop SMART goals for practicum experiences | X | |||
| Evaluating outcomes of practicum goals and modify plan as necessary | X | |||
| Documenting and reflecting on learning experiences | X | |||
| Professional skills: | ||||
| Maintains professional boundaries and therapeutic relationship with clients and staff | X | |||
| Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings | X | |||
| Identifies ethical and legal dilemmas with possible resolutions | X | |||
| Demonstrates non-judgmental practice approach and empathy | X | |||
| Practices within scope of practice | X | |||
| Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals: | ||||
| Demonstrates selecting the correct screening instrument appropriate for the clinical situation | X | |||
| Implements the screening instrument efficiently and effectively with the clients | X | |||
| Interprets results for screening instruments accurately | X | |||
| Develops an appropriate plan of care based upon screening instruments response | X | |||
| Identifies the need to refer to another specialty provider when applicable | X | |||
| Accurately documents recommendations for psychiatric consultations when applicable | X |
Summary of strengths:
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Opportunities for growth:
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Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.
| 1. Goal:
a. Objective: b. Objective: c. Objective:
2. Goal: a. Objective: b. Objective: c. Objective:
3. Goal: a. Objective: b. Objective: c. Objective:
4. Goal: a. Objective: b. Objective: c. Objective:
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Signature:
Date:


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